BARBARA A SAMUELS Social Worker License verification

Business Entity

NOT RENEWED

License Type

Social Worker

Description

LICENSED CLINICAL SOCIAL WORKER

License Number

149009016

License Status

NOT RENEWED

Business

First Name

BARBARA

Middle

Last Name

SAMUELS

Business Name

BARBARA A SAMUELS

Original Issue Date

02/18/2000

Effective Date

11/05/2013

Expiration Date

11/30/2015

City

CHICAGO

State

Zip

60614

County

COOK

Specialty/Qualifier

MASTERS

Ever Disciplined

LastModifiedDate

01/08/2016